Lower Facelift

The Lower Facelift at V CLINIC Brno targets the lower third of the face and neck to restore jawline definition and address sagging submental tissue. Using incisions under the chin (3–4 cm) and behind the ears, the surgeon removes excess fat from above and below the neck muscle, tightens and repositions deeper facial structures, and may reduce submandibular glands where clinically indicated. The procedure takes approximately two hours under local, sedation, or general anaesthesia and is well-suited for patients with double chin, jowling, and poorly defined facial contours who do not yet require a full deep plane correction.

The lower facelift is designed for patients where the primary concern lies in the lower facial third — the jawline, chin, and upper neck — rather than across the entire face. At V CLINIC Brno, the approach uses incisions placed under the chin (3–4 cm) and behind the ears to access the submandibular anatomy directly, removing fat deposits both above and below the platysma muscle and tightening the neck musculature through internal sutures. This deeper muscle approach, rather than skin-only tightening, produces lasting results because it addresses the structural cause of jowling and submental fat accumulation rather than simply redistributing the overlying skin. The submandibular glands may also be reduced if they are contributing to a rounded lower-face profile. Post-operatively, patients can typically return to office work within a few days, while avoiding strenuous activity for four weeks. Air travel is permitted after two weeks. Stitches are removed at a follow-up appointment, and active recovery is two weeks. The lower facelift can be performed as a standalone procedure or combined with other corrections such as upper eyelid surgery or a bullhorn lip lift to address adjacent areas simultaneously. It is appropriate for patients who have early-to-moderate lower face laxity and want meaningful anatomical improvement without the extended downtime of the full V Lift or deep plane facelift.